| NPI | 1851300354 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IN 20040450A) |
| Additional Taxonomies | 103TF0000X Psychologist Family (Licence: IN 20040450A) |
| 103TP2701X Psychologist Group Psychotherapy (Licence: IN 20040450A) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: IN 20040450A) | |
| 103TC0700X Psychologist Clinical (Licence: IN 20040450A) | |
| 103TC1900X Psychologist Counseling (Licence: IN 20040450A) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: IN 20040450A) | |
| 103TS0200X Psychologist School (Licence: IN 20040450A) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2024-05-31 |